Because Dr. Asher likes to spend as much time with his patients as he can, we ask that you arrive at least 20 minutes prior to your appointment in order to complete the necessary patient intake forms.
You can download these forms by clicking here. Or, you can also obtain these forms in advance by calling the office to request copies via either fax or snail mail.
Please Note: Do not return completed forms via internet or fax, as this violates federal HIPAA privacy laws, which were created to protect you.
We recommend you arrive at least a few minutes early to every visit, as it is beneficial to relax and unwind prior to your appointment. Patients are always welcome to enjoy some tea, a good book, or our company.
||I was amazed to see my two year old's complete trust in Dr. Asher.
Parent of patient, NYC
What to Bring
To make the most of your first appointment, please bring all available and relevant medical records. This includes: copies of your medical notes from other practitioners as well as any lab results, x-ray reports, actual x-rays and scans, and audiograms that have been completed.
Please bring the contact information for all the health care providers you currently see, so that we can inform them of our findings, or discuss your treatment if necessary.
You will need to send your health care providers a Records Release Authorization to have copies of your records sent directly to us. We can fax you a copy of the form, or you can download it here.
In addition, please bring a complete list of the nutritional supplements and medications you take.
Our patients are not required to change into exam gowns or disrobe for any reason.
All of our diagnostic and therapeutic services are minimally invasive.
However, some of our treatments are performed fully reclined, and massage lotions are used. While these products claim to be non-staining, we do make the following suggestions:
Tight fitting clothing worn around the neck will limit our ability to serve you.
Patients may feel more comfortable wearing pants. While it is not necessary, we do offer scrub shirts and/or pants for you to change into. Or, you are welcome to bring your own change of clothes.
It is your right to choose not to have your records or any information about your visit shared with anyone, including referring practitioners. Please notify us if you do not want your referring providers contacted by our office. If you want us to work in cooperation with other providers, you will first be asked to sign a release of information.
Our practice protects oral, written and electronic health information throughout the office. We will not sell your health information to anyone. We have many internal policies and procedures designed to control and protect the internal privacy and security of your health information. We train all of our employees to protect your information through internal policies and procedures, which are evaluated and updated for compliance with applicable law.
Because Benjamin F. Asher M.D, P.C./Restorative ENT does not submit any health care claims, we do not qualify as a covered entity under the provisions of the federal Health Insurance Portability and Accountability Act (HIPAA or PL104-191). However, we do fulfill all mandated federal requirements of HIPAA in our handling and care of all personal-private health information. An outline of HIPAA mandates is available at our office and will be provided upon request.
24 hours in advance, please.
Because we do not double-book appointments, and schedule each patient ample time with Dr. Asher, we must charge $100 for all appointments not cancelled with 24 hours notice.
Furthermore, we reserve the right to charge full consultation fees for no-shows and for those cancellations provided with less than 2 hours notice.
Note: For Monday appointments, a cancellation on Friday (before the time of the appointment on Monday) is required to avoid fees.
As always, if you cancel with less than 24 hours notice, you will need to provide us with a non-refundable deposit of 50% of the upcoming visit fee in order to reschedule.
If you have cancelled two appointments without 24 hours notice, you will need to provide us with the full consultation fee in order to reschedule your visit.